Postoperative bracing after spine surgery for degenerative conditions: a questionnaire study

Abstract Background context A variety of orthoses are routinely applied after spinal procedures but there are limited data regarding their efficacy, especially with the increasing use of internal fixation. At this time, the proper indications for postoperative bracing are not well established. Purpo...

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Bibliographic Details
Published in:The spine journal 2009-04, Vol.9 (4), p.309-316
Main Authors: Bible, Jesse E., BS, Biswas, Debdut, BA, Whang, Peter G., MD, Simpson, Andrew K., MD, Rechtine, Glenn R., MD, Grauer, Jonathan N., MD
Format: Article
Language:English
Subjects:
Braces - statistics & numerical data
Braces - utilization
Bracing
Cervical Vertebrae - surgery
Health Care Surveys
Lumbar Vertebrae - surgery
Orthopedics
Orthopedics - statistics & numerical data
Orthosis
Postoperative
Postoperative Complications - therapy
Professional Practice - statistics & numerical data
Questionnaire
Spinal Diseases - surgery
Spinal Fusion - statistics & numerical data
Spine
Surveys and Questionnaires
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Summary:Abstract Background context A variety of orthoses are routinely applied after spinal procedures but there are limited data regarding their efficacy, especially with the increasing use of internal fixation. At this time, the proper indications for postoperative bracing are not well established. Purpose To assess the postoperative bracing patterns of spine surgeons. Study design/setting Questionnaire study. Patient sample Spine surgeons attending the “Disorders of the Spine” conference (January 2008, Whistler, Canada). Outcome measures Frequencies of bracing after specific surgical procedures. Methods A single-page questionnaire was distributed to all spine surgeons attending the “Disorders of the Spine” conference (January 2008). The questionnaire focused on whether surgeons typically immobilize patients after specific spinal procedures, the type of orthosis used, the duration of treatment, and the rationale for bracing. Results Ninety-eight of 118 surgeons completed the survey (response rate: 83%). The frequency of bracing was similar between academic and private as well as orthopedic and neurosurgical practices. The difference in the bracing tendencies of fellowship and non-fellowship trained surgeons was found to be statistically significant (61% vs. 46%, p
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2008.06.453